Comments on: How Telemedicine Will Replace the Once-Sacred Doctor’s Exam http://www.citizeneconomists.com/blogs/2008/07/27/how-telemedicine-will-replace-the-once-sacred-doctors-exam/ Citizen Economists is an online economics magazine written by citizen journalists. These ordinary citizens provide reports and commentary on the current events affecting the economics of the fields they work in. Wed, 08 Feb 2012 04:44:52 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Amateur Economists » How Telemedicine Can Actually Work http://www.citizeneconomists.com/blogs/2008/07/27/how-telemedicine-will-replace-the-once-sacred-doctors-exam/comment-page-1/#comment-331 Amateur Economists » How Telemedicine Can Actually Work Thu, 31 Jul 2008 09:19:27 +0000 http://www.amateureconomists.com/blogs/?p=179#comment-331 [...] last post generated an interesting comment from a reader questioning whether telemedicine can actually be [...] [...] last post generated an interesting comment from a reader questioning whether telemedicine can actually be [...]

]]> By: J.L. http://www.citizeneconomists.com/blogs/2008/07/27/how-telemedicine-will-replace-the-once-sacred-doctors-exam/comment-page-1/#comment-277 J.L. Sun, 27 Jul 2008 17:25:20 +0000 http://www.amateureconomists.com/blogs/?p=179#comment-277 Dr. J.C., How will doctors be able to do a physical exam remotely? How will they auscultate the heart to listen for murmurs/gallops/rubs? Will the doctor tell the patient to place a remotely connected stethoscope to different areas on his chest (aortic/pulmonic/tricuspid/mitral)? But then, how about the PMI? And that's just the cardiac exam. Abdomen. How will you percuss for tympany? Will the pt percuss him/her-self? How about fluid waves for ascites? And when palpating the abdomen for tenderness, will the pt press down on his/her own abdomen with both light pressure and strong pressure? How about CVA tenderness? How about the rectal exam/stool guaiac? How about the prostate exam to look for prostatic masses? How about lymph node enlargement? How about inguinal hernias? There are many more examples.... I was wondering if you could clarify how the physical exam can be performed via telemedicine for even the above mentioned items. Based on your comments, you have never performed a physical exam before... and therefore, have never attended medical school. You are not an M.D. Don't be dishonest about your credentials. You are a wanna-be. Dr. J.C.,

How will doctors be able to do a physical exam remotely? How will they auscultate the heart to listen for murmurs/gallops/rubs? Will the doctor tell the patient to place a remotely connected stethoscope to different areas on his chest (aortic/pulmonic/tricuspid/mitral)? But then, how about the PMI? And that’s just the cardiac exam.

Abdomen. How will you percuss for tympany? Will the pt percuss him/her-self? How about fluid waves for ascites? And when palpating the abdomen for tenderness, will the pt press down on his/her own abdomen with both light pressure and strong pressure? How about CVA tenderness?

How about the rectal exam/stool guaiac? How about the prostate exam to look for prostatic masses? How about lymph node enlargement? How about inguinal hernias?

There are many more examples….

I was wondering if you could clarify how the physical exam can be performed via telemedicine for even the above mentioned items.

Based on your comments, you have never performed a physical exam before… and therefore, have never attended medical school.

You are not an M.D. Don’t be dishonest about your credentials. You are a wanna-be.

]]>